futbol84

Yeah hard to say anything could have been done differently. Like people have said maybe a trip to CT instead of MRI to just get a quick picture. Maybe an EVD but doesn't mean it would changed anything.

Maybe try this website and click on the presentation or contact the person that put the presentation together: http://classic.aacn.org/AACN/NTIPoster.nsf/vwdoc/2008CSGCorliss1 As for Adrenergic receptors I try to keep it simple and just remember if the drip will affect Alpha or Beta receptors and than you kind of know what effect the drug will have. Alpha 1 gives you smooth muscle contraction like phenylephrine so BP up but not HR. Dopamine gets both hence the BP and HR. Or Dobutamine which is for Beta 1 so get cardiac output going and HR which should help BP but main goal is cardiac output. Hope this helps and I am no expert so double check my info =)

Sorry no experience with 23% saline but we do bolus 3% hypertonic saline and it seems to work pretty well. Again as GrnHonu99 said check your sodiums and serum osmos. Each hospital runs them a little different but I've seen some patients get a ton of mannitol and 3% until we can do a crani

All we use are central lines for CVP. Usuall try for a CVP around 8 or so. Depends on the Doctors.

You could probably back off the fluids a bit but I am wondering why you are using D5.45% on a neurosurg patient. Usually just normal saline for them. Also as for the outcome only time will tell but if the flap came off early should give room to swell and will have to wait and see.

I think most of our patients that are on cooling blankets we just sedate them to stop the shivering.

I've seen orders to pump a patients shunt and I've done it. Of course if the patient is with it enough they pump their own but most of the time on the hour or every 2 hours we pump the patients shunt.

Howdy, I'm a new graduate who is actually working on a Neuroscience floor but all the nurses on my floor are TNCC certified. I actually signed up to take the class in September and by that time I'll have been working for just over a year. My question is what can I expect from the class? I'm reading the book already since I have no ER experience, but is there a certain chapter to focus on? Any tips would be greatly appreciated.

I've been reading through the forum and have learned a lot and I was wondering if anyone could possibly send me in the right direction. I'm applying to UC Davis Medical Center and these are the available areas I could start in as a new graduate: Accelerated Access Unit, Ortho/Trauma, Peds ICU/Peds Special Care, Neuroscience, Surgical Unit, Burn Unit, Cardiology Services, Cardiothoracic Step Down. Now if I'm accepted I'm thinking that either the Cardio Step Down or the PICU is a good place to start but does it matter between the two? I would appreciate any help that you could give me. Thanks for your time.

To be honest in high school I wanted to work with computers since I loved them so much but once I realized how much math I'd have to take and I saw how I struggled with math in high school I thought about another career. My dad knows a lady in my church who is the dean of nursing and she spoke to me about nursing and I must say after talking to her I realized that nursing is for me. I just felt this tug at my heart that I need to go and help people even if it means just sitting and talking with them I want to help others. So here I am about to finish my BS in June and I'm actually hoping to get a job in March and work my way towards flight nursing. So sure I haven't started working yet and I'm not in th real world but soon and very soon is what I keep telling myself I shall be there.

Well currently I'm at Loma Linda University and I'm just starting my senior year and I believe that both males and females have been cut slack. It depends upon the clinical instructor and your teacher. However, I must say that when it comes to clinicals and working with female patients it is sometimes akward. For me I have no problem but of course some female patients do have a problem and I respect that and can understand that. Other than that no problems for me.